|
Wakabayashi Hidetaka
Department School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine Position Professor and Division head |
|
| Article types | Original article |
| Language | English |
| Peer review | Peer reviewed |
| Title | Predictive validity of the Mini Nutritional Assessment Short-Form for rehabilitation patients: A retrospective analysis of the Japan Rehabilitation Nutrition Database. |
| Journal | Formal name：Journal of human nutrition and dietetics : the official journal of the British Dietetic Association Abbreviation：J Hum Nutr Diet ISSN code：1365277X/09523871 |
| Domestic / Foregin | Foregin |
| Volume, Issue, Page | 34,pp.1 |
| Author and coauthor | Nishioka Shinta, Wakabayashi Hidetaka, Kayashita Jun, Taketani Yutaka, Momosaki Ryo |
| Authorship | 2nd author |
| Publication date | 2021/03 |
| Summary | AIM:Malnutrition is associated with worse outcome in rehabilitation patients; however, appropriate malnutrition screening tools for this population have not been investigated. We examined the predictive validity of specific cut-off values of the Mini Nutritional Assessment Short Form version 2 (MNA-SFv2) for Japanese rehabilitation patients.METHODS:This retrospective cohort study analyzed adult patients (≥20 years) in the Japan Rehabilitation Nutrition Database who were in convalescent rehabilitation wards after stroke or hip fracture. Patients were classified into three categories based on MNA-SFv2 original (0-7, 8-11 and 12-14 points, respectively) or modified (0-5, 6-7 and 8-14 points, respectively) cut-off values: malnutrition, at risk of malnutrition, or well-nourished. Functional Independence Measure (FIM) and home discharge were compared between the categories.RESULTS:Overall, 489 patients were analyzed. Based on the MNA-SFv2 original and modified cut-off values, 64.4% and 36.0% were malnourished, 32.3% and 28.4% were at risk of malnutrition, and 3.3% and 35.6% were well-nourished, respectively. Malnutrition defined by both cut-off values was significantly associated with the FIM at admission, whereas only those defined by modified cut-off values predicted the FIM at discharge (B, -7.1; 95% confidence interval, -12.3 to -1.9). Neither original nor modified cut-off values predicted discharge to home and long-term care facilities.CONCLUSIONS:An MNA-SFv2 score of 0-5 points may be useful to identify Japanese patients with poor outcomes in a rehabilitation setting. |
| DOI | 10.1111/jhn.12887 |
| PMID | 33713369 |